KENI O JEGEDE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

NOT RENEWED

Business

First Name

KENI

Middle

Last Name

JEGEDE

Business Name

KENI O JEGEDE

Original Issue Date

06/17/2019

Effective Date

06/17/2019

Expiration Date

09/30/2020

City

SHOREWOOD

State

Zip

60404

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021